25 and not sure business is for me. Thinking of going into specialized medicine but don’t want to be naive, as I know it is long and hard, with no financial rewards until late 30s. Thankfully I have the intellect. Any advice?

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I cannot imagine pivoting, financially speaking it would be a nightmare unless you have a SO or wealthy family who can support you.

My fiancé is wrapping up her PhD and she is foaming at the mouth to get a job. Being stretched financially or not having independence as you near 30 is very hard.

But that’s not to discourage you, just make sure you’re going in with your eyes open. Have you considered pivoting to more research or clinical style consulting work?

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Go to dental school - signed every single one of my physician friends. (I worked in a hospital for 4 years, dozens have told me they'd go dental if they could to it all over again. WLB, high pay, low politics, easier to maintain private practice, opportunity to specialize in high pay surgical/reconstructive surgery, etc.)

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Well gosh, you have the intellect - what good will my advice do?

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ZS

If I work 36 hours/week and you work 50 hours while being on call 1/day a week, you make more money than me, have a higher stress role, and have more risk/inherent liability, profitability is not measured by how much you took home each month.

Medical school isn’t about intellect, not beyond a baseline level of being smart enough to get in.

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I may be incorrect, but P1 raised this *because* of your comment: high intellect is an assumed baseline for any 25 y/o considering pivoting into medicine - mentioning it only serves to question understanding of the hurdles ahead as opposed to honing the conversation.

That said, you do seem to be asking in earnest and there are an abundance of helpful insight here. What *will* help guide the conversation further is insight to the specialties you are interested in, why medicine, what nation/health care system you’re looking to work within, etc. It’s a messy industry that presently my MD family and friends steer anyone clear of.

smart

As someone who’s spouse is in medicine, I’d steer clear.

Since information is so widely available, patients will already self diagnose prior to visiting you and tell you that your diagnosis is incorrect. As someone that already thinks highly of their intellect, I’m sure this would be a frustrating life for you.

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I find it interesting how high peoples expectations of doctors are. Your friend Tom from high school did not magically grow a 2nd brain in the time between when you two were fucking around in high school and him now as a doctor. If you've ever made a mistake at work, doctors have made the same mistake, probably more often because of how overworked they are.

The other thing is, people's baselines expectations that they will be fixed, no matter what condition they have. There are plenty of conditions we can treat, and plenty we dont really know. In my field, patients are happy because all we offer are treatments, but there are so many diseases we just dont have good treatments for, its not the doctors fault, it just is what it is, maybe we need to spend more on research and innovation.

“I have the intellect” line is getting a lot of negative attention which I find bizarre. If someone just is intelligent, and you really can’t prove otherwise, saying so shouldn’t be stigmatized to the point you can’t include it in a statement about a potential career change to a field requiring it.

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SA1 I completely agree with you. And D1, yes, for anyone considering medicine, you absolutely need to determine if you have the baseline intellect before pursuing this path.

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I was premed all throughout college (T15 school). Dropped out after attempting to study for MCAT. I could not sit for more than 2 hours without going crazy hahaha. Now about to make $200k total comp in Corporate Pharma at age 26. I come from a family of doctors. Gf is a MD student so I have that perspective as well. Feel free to DM.

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Same. But I dropped out studying for the DAT instead of MCAT

Only go into medicine if it is the only thing you see yourself doing.

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Medicine is hard, residency is tough depending on your specialty. You can't leave once you commit. You will be financially hobbled until 35 at the earliest. You should talk to some doctors and see if its for you. A lot of people have these fantasies about medicine and project their own limited experiences. People in business tend to focus on the job stability and long term income and respect, and they think that doctors don't have to kiss ass or deal with politics. But the reality is that you have to grind, kiss ass, compromise your morals, sacrifice friends and family, study, give up your social life etc. Why do you think doctors have big egos? Its the only way we survive.

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I often question this too but would go down a different medical path. The changes to our industry since COVID have left me very unsure if a consulting/industry role is what I want anymore.

I’m doing the opposite. Leaving medicine and looking to get into consulting.

Why would you leave if you’ve been practicing for so long? Isn’t it time to retire for you in the next 10 years or so?

This was me at 24/25 — spent months looking into medicine, talked to all my doctor friends, hired a coach to help with applications, even got accepted to an Ivy League post bacc / one of the top in the country. I went so far as telling my boss I was leaving for the opportunity.
Ultimately, changed my mind and decided not to pursue it further. I didn’t want to be financially ruined until age 35 or be a burden to my family. The advice I got from the smartest person I knew was “only do it if your sole priority is to practice medicine. If anything else can satisfy you, do that instead.” Think he was right, any other reason won’t be enough to make it worth it. Now looking at pivoting to SWE / tech partially since that’s what most MD dropouts look into also. Let me know if you want to have a convo, I know a lot about this process now

Would love to chat! Will dm you.

Why medicine? And not nursing? Medical school is extremely hard to get into - Prerequisites (Bio, Chem, orgo, biochem, physics) then the MCAT then applying to many schools just hoping to get into one of them. It is really a hard process.

I almost did this. It took me 2.5 years from taking my first prerequisite class to getting my first medical school acceptance. Ultimately decided not to go because I was too old, had kids, and didn't want to be poor for another 7-10 years.

I would do an ABSN if I could do it over again then do travel nursing for a year or two. Regular nurses in NY make over 100K and can move to 150k. So it’s good money and you might enjoy it.

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